Current status of awareness, knowledge, beliefs, and behavioral intentions regarding the Japanese physical activity guidelines and their relationship with physical activity and sedentary behavior

  • TAJIMA Takayuki
    Graduate School of Human Health Sciences, Tokyo Metropolitan University Sports Medicine Research Center, Keio University
  • HARADA Kazuhiro
    Graduate School of Human Development and Environment, Kobe University
  • OGUMA Yuko
    Sports Medicine Research Center, Keio University Graduate School of Health Management, Keio University
  • SAWADA Susumu S.
    Faculty of Sport Sciences, Waseda University

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Other Title
  • 健康づくりのための身体活動指針の認知・知識・信念・行動意図の現状と身体活動・座位行動の関連
  • ケンコウズクリ ノ タメ ノ シンタイ カツドウ シシン ノ ニンチ ・ チシキ ・ シンネン ・ コウドウ イト ノ ゲンジョウ ト シンタイ カツドウ ・ ザイ コウドウ ノ カンレン

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Abstract

<p>Objective This study clarified the current status of awareness, knowledge, beliefs, and behavioral intentions regarding the Japanese physical activity guidelines (Active Guide) and their relationship with physical activity, sedentary behavior, and the participants' characteristics.</p><p>Methods A cross-sectional study was conducted with 7,000 participants aged 20-69 years registered with an online survey company. Awareness, knowledge, beliefs, and behavioral intentions regarding the Active Guide were examined. Awareness was assessed by unprompted and prompted recall. Knowledge was assessed by numerical responses to “the recommended daily activity time (18-64 years/65 years and older)” and “physical activity time to be increased (plus-ten),” respectively. To survey the beliefs and behavioral intentions, we created a 5-point scale for the Active Guide. For physical activity, the amount of moderate-to-vigorous intensity physical activity was calculated from the Japan Public Health Center-based prospective Study (JPHC study) questionnaire. Physical activity level was calculated from the standard specific medical checkup and health guidance questionnaire. For sedentary behavior, the Japanese version of the International Physical Activity Questionnaire (IPAQ) was used. The dependent variables were awareness, knowledge, beliefs, and behavioral intentions. The independent variables were physical activity, sedentary behavior, and the participants' characteristics (gender, age, body mass index, marital status, educational background, work status, and household income). After descriptive statistics were measured, a logistic regression analysis was performed to examine the associations.</p><p>Results Unprompted and prompted recall of the Active Guide were 1.7% and 5.3-13.4%, respectively. Those with knowledge of it scored 37.2%, 7.0%, 24.8%, and 2.6% for recommended daily activity time (18-64 years), daily physical activity time (65 years and older), plus-ten, and all three items answered correctly, respectively. The median (interquartile range) score of the beliefs was 21 (16-25) points (32-point scale). Those with behavioral intentions scored 51.4% for “recommended daily activity” and 66.9% for “plus-ten.” Logistic regression analysis showed that awareness, knowledge, beliefs, and behavioral intentions were positively associated with moderate-to-vigorous intensity physical activity and level. The results were inconsistent for sedentary behavior. Although personal characteristics differed based on assessment item, they were mainly associated with age, education level, employment, and household income.</p><p>Conclusions This study revealed that the number of people who had awareness and knowledge of the Active Guide remained low. Those with awareness, knowledge, beliefs, and behavioral intentions were more physically active. However, the results for sedentary behavior were not consistent. Hence, further research is required to understand this tendency. A future longitudinal study is also required.</p>

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